NPIMap

Organization Active NPI

Kohlls Pharmacy & Homecare Inc

Doing business as Kohlls Pharmacy

  • Pharmacy
  • Omaha, NE
National Provider Identifier
1710037841
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2239 Issued in NE
Legal business name
KOHLLS PHARMACY & HOMECARE INC
Doing business as
Kohlls Pharmacy
Practice address
620 N 114TH St
Omaha, NE 68154-1571
Phone
(402) 408-0012
Fax
(402) 408-0020
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Geoffrey Kohll, PHARM. D.
Title
President/Owner
Phone
(402) 895-6812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2239 NE Primary

Addresses

Primary practice location

620 N 114TH St
Omaha, NE 68154-1571

Mailing address

12759 Q St
Omaha, NE 68137-3211
Phone (402) 895-6812

Other names 1

  • Kohlls Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kohlls Pharmacy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1710037841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12759 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373211",
            "telephone_number": "402-895-6812",
            "fax_number": "402-895-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N 114TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541571",
            "telephone_number": "402-408-0012",
            "fax_number": "402-408-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLLS PHARMACY & HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "KOHLL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GEOFFREY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "402-895-6812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "2239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kohlls Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.